Active NPI
Brenda L Friend, SLP
- Speech-Language Pathologist
- Rockledge, FL
National Provider Identifier
1689742736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA5657
- Practice address
- US Highway 1
Ste 111
Rockledge, FL 32955-2822 - Phone
- (321) 543-8771
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA5657 | FL | Primary |
Addresses
Primary practice location
US Highway 1
Ste 111
Rockledge, FL 32955-2822
Mailing address
US Highway 1
Ste 111
Rockledge, FL 32955-2822
Phone (321) 432-4871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884682100 | Medicaid | FL | |
| S2133 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA5657 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1689742736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "US HIGHWAY 1",
"address_2": "STE 111",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552822",
"telephone_number": "321-432-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HIGHWAY 1",
"address_2": "STE 111",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552822",
"telephone_number": "321-543-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "BRENDA",
"middle_name": "L",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA5657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "884682100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "S2133",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.